Individual provider Active NPI

Meredith Hacking-Young, SLP

  • Speech-Language Pathologist
  • Wichita, KS
National Provider Identifier
1124221825
Registry record updated Jan 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
1535 Issued in KS
Practice address
410 N Roosevelt St
Wichita, KS 67208-3240
Phone
(316) 833-1591
Fax
(316) 295-4713
NPI assigned
Jun 8, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 1535 KS Primary

Addresses

Primary practice location

410 N Roosevelt St
Wichita, KS 67208-3240

Mailing address

410 N Roosevelt St
Wichita, KS 67208-3240
Phone (316) 833-1591

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140410001192 KS Practitioner - Qualified Speech Language Pathologist 3375775125 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Fortitude Physical Therapy, LLC CurrentSince Oct 24, 2025 Accepting new patients

Locations

1541 N Lindberg Cir
Wichita, KS 67206
Phone (316) 258-5882

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1181260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389830400000",
    "number": "1124221825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 N ROOSEVELT ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672083240",
            "telephone_number": "316-833-1591",
            "fax_number": "316-295-4713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 N ROOSEVELT ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672083240",
            "telephone_number": "316-833-1591",
            "fax_number": "316-295-4713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HACKING-YOUNG",
        "first_name": "MEREDITH",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-08",
        "last_updated": "2014-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "KS",
            "license": "1535",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.